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New York rates for HCPCS J7168

Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity

Facilitymedian $3 · 10th–90th $2$70%20%10th90th$3Professionalmedian $3 · 10th–90th $2$30%50%10th90th$3$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.55 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $3.02
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.37 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $16.22
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.47
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.16 / $3.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.16 / $3.16
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.02 / $4.57
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.16 / $3.47
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.16 / $3.80